| Regimental number | R2012 |
| Place of birth | Lilydale, Tasmania |
| Religion | Salvation Army |
| Occupation | Farmer |
| Address | Lilydale, Tasmania |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, Mr H Boultbee, Lilydale, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board HMAT A70 Ballarat on |
| Regimental number from Nominal Roll | 2012 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd TNG Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
